Chirurgische Interventionen nach endoluminaler Therapie bei infrarenalem Bauchaortenaneurysma (BAA)
作者： C. Schlensak , U. Blum , G. Spillner , F. Beyersdorf
DOI: 10.1007/BF03042152
关键词: Cardiothoracic surgery 、 Gynecology 、 Medicine
摘要: Chirurgische Masnahmen nach Implantationen von endovascularen Prothesen (Stent-Grafts) bei infrarenalem Bauchaortenaneurysma (BAA) sind bisher nur ausnahmsweise beschrieben worden. Zwischen September 1994 und Januar 1997 wurden in einer prospektiven Studie 70 Patienten (Altersdurchschnitt, 68±8 Jahre; 48–81 Jahre) mit einem Stent-Graft versorgt. Alle Eingriffe Zusammenarbeit Gefaschirurgen interventionellen Radiologen durchgefuhrt. Bei 67/70 (96%) konnte der Aortenstent erfolgreich plaziert werden. 18/70 waren chirurgische Interventionen notwendig: Freilegung kontralateralen Leiste (n=7), Rekonstruktion Femoralgefase (n=12), Thrombembolektomie (n=5), Leistenrevision (n=3), Konversion zur chirurgischen Therapie (n=2). Unter Voraussetzung, das die Intervention durchgefuhrt wird, ist endoluminale des BAA fur ausgewahlte eine Alternative konventionellen Operation.
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